Manager Healthcare Payer Jobs in Hamden

Description Be a part of the eBusiness team, drivers of provider self-service adoption through education and promotion of electronic transactions the Availity secure provider portal, Watson Voice, EDI, etc. As a ..

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

POSITION SUMMARY: Monitors scheduling and timekeeping for all center employees. Controls center labor spend using GenStar scheduling and timekeeping software by reviewing potential leakage points daily. RESPONSIBILITIES/ACCOUNTABILITIES:1. Minimizes avoidable premium pay ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

... of Bristol as a Unit Manager! BenefitsTuition AssistanceVariable compensation plansHealth, Dental, ... Join Genesis as a Unit Manager/Director - RN where within an ... values and policies of Genesis..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

Job Information Humana Lead Product Manager - Healthcare API in Bridgeport Connecticut Description ... Connecticut Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

... Kindred at Home RN Case Manager, Home Health Full Time in ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..

... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Bridgeport Connecticut Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Job Information Humana Manager, Utilization Management RN - Remote ... in Bridgeport Connecticut Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Bridgeport Connecticut Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

... Centerwell Full Time RN Case Manager - *5000 Sign on Bonus! ... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical..

... preference with judicious use of healthcare resources Educates physicians regarding InterQual ... for high-risk patients across the healthcare continuum. Ensures the delivery of ... is a national leader in..

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

... realization of high-quality and cost-effective healthcare.Foster continuous improvement of nursing services ... families' needs and expectations.Why Genesis?Genesis HealthCare is a leading provider of ... is a leading provider of..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

... Clinical Analytics and Trend Program Manager in Bridgeport Connecticut Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..